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Benign acute viral myositis in African migrants: A clinical, serological, and pathological study
Author(s) -
Pancheri Elia,
Lanzafame Massimiliano,
Zamò Alberto,
Angheben Andrea,
Sartoris Silvia,
Zorzi Antonella,
Boaretti Marzia,
Signoretto Caterina,
Guglielmi Valeria,
Ferrari Sergio,
Tonin Paola,
Vattemi Gaetano
Publication year - 2019
Publication title -
muscle and nerve
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.025
H-Index - 145
eISSN - 1097-4598
pISSN - 0148-639X
DOI - 10.1002/mus.26679
Subject(s) - myositis , polymyositis , medicine , cd68 , pathology , serology , inflammatory myopathy , rhabdomyolysis , myopathy , immunology , pathological , antibody , immunohistochemistry
Background Several viruses have been described as causes of acquired inflammatory myopathies; however, the mechanisms by which they cause muscle disease are still unclear. The aim of this study was to describe the laboratory features of benign acute myositis in a small case series. Methods A detailed pathological and serological analysis was performed in five African migrants who developed an acute viral myositis complicated by rhabdomyolysis. Results Muscle biopsies clearly documented an inflammatory myopathy with histological features similar to polymyositis including CD8+ T cells surrounding and invading nonnecrotic muscle fibers, CD68+ macrophages and major histocompatibility complex class I antigen upregulation. In addition, positivity for myositis‐specific antibodies (MSA), in particular anti‐aminoacyl tRNA synthetases, was found in the serum of two patients. Conclusions Our study demonstrated that T‐cell mediated injury occurs in muscle of patients with acute viral myositis, and that MSA may be present in the serum of these patients.